Attachment 2
Worksheet - Annual Targets for Victim/Witness Program Service Objectives (Victims)
Directions: Please indicate the number of victims your program proposes to serve in FY2017and FY2018. Below that list the number of victims who will receive specific services. (See Victim/Witness Codebook for complete service objectives. Please note: not every victim will receive every service.)
* Total number of Direct Service Victims to be Served by Program in FY2017 FY2018
Annual TargetsAnnual Targets
Attachment 2
Required ObjectivesFY2017FY2018
®1. Victims’ Rights Information
(Pre-Printed)
®2. Victims’ Rights Explanation
A.Protection(Phone and In Person)
B. Financial Assistance (Phone and (In Person)
C.Notices (Phone and In Person)
D.Victim Input (Phone and (In Person)
E.Courtroom Assistance(Phone and n Person)
® 3. Protection
A.Protective Order
i)Domestic Violence
ii) Child Abuse
iii) Elder Abuse
B.Law Enforcement Protection
4. Compensation
® A. Explanation
B. Services
C. Follow-Up
®5. Property
®6. Restitution Assistance/Referral
A.Services
i) Explanation
ii) Monitoring
iii) Collection
iv) Enforcement
B.Total Amounts ___n/a____
7. Intercession
® A. Employer
B. Creditor
C. Landlord
D. Academic Institution
®8. Notification Assistance
Required ObjectivesFY2017FY18
9. Liaison re: Prisoner Status
®10. Victim Impact Statements
®11. Confidentiality Forms
®12. Interpreter Services
13. Crisis Intervention
14. Support Services
A.Follow-Up Counseling
B.Victim Support Groups
15. Crisis Referrals (Phone and In Person)
16. Case Status
17. Dispositions
18. Criminal Justice Process -
Options Explanation
19. Courtroom Tours
20. Criminal Justice Process
A.Support
B.Explanation of Steps
21. Parole Input
22. Transport
23. Escort
Attachment 2
Worksheet - Annual Targets for Victim/Witness Program Service Objectives
(Victims - cont’d)
Annual Targets
Optional ObjectivesFY2017FY2018
24. Advanced Notice of Judicial Proceedings
25. Forensic
26. Closed Preliminary Hearings
27. Closed Circuit TV
28. Crime Prevention
29. Emergency Assistance
A. Medical Care
B. Financial
B. Shelter/Safe House
30. Business Restitution
A. Services
i) Explanation
ii) Monitoring
iii) Collection
iv) Enforcement
B. Total Amounts ____n/a___
31. Transportation Services
A. Reservations
B. Reimbursements
32. Appeal/Habeas Corpus Services
33.OTHER (Specify)
Annual Targets
New PMT Service ObjectivesFY2017FY2018
Referral to other victim service programs
Victim advocacy/accompaniment to emergency
medical care
Immigration Assistance
Child or Dependant Care
Hotline Crisis Counseling
On-Scene Crisis Response
Shelter/Housing Services
Civil legal attorney assistance
Civil legal attorney assistance with PO
Immigration Assistance
Prosecution Interview
Law Enforcement Interview
Other legal advice and/or counsel
Program Development
Check below to indicate whether these three requirements have been met or will be met.
1.Separate Waiting Areas Yes No
2.Directory of Services Yes No
3.Continuance Notification Yes No
4. Campus Sexual Assault Yes No Service Provision# of Hours
* Denotes the total number includes individuals who may have been counted more than once during the reporting period.
® Denotes required by Virginia’s Crime Victim and Witness Rights Act.